Symptoms of limp polycythemia vera are fatigue, dizziness or headache, blurred vision, nosebleeds, excessive sweating, difficulty breathing, itching, numbness in the hands or feet, and skin turning red. If symptoms of gouty arthritis occur, there may be an increase in uric acid.
Polycythemia vera is a blood disorder that causes the body to produce too many red blood cells. This disorder occurs due to malignancy of the growing blood cells when the bone marrow produces too many red blood cells.
Increased levels of uric acid in the blood (hyperuricemia) are a major factor in the occurrence of gouty arthritis. Problems will arise if monosodium urate (MSU) crystals form in the joints and surrounding tissues.
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which of the following is a true statement about the effects of sugar? multiple choice natural sources of sugar, like honey, are lower in calories than their processed counterparts, such as high fructose corn syrup. prolonged exposure of the teeth to simple sugars from snacks and drinks promotes dental caries. a high-sugar diet will cause hyperactivity among children. a high sugar intake is not problematic as long as the overall diet is high in protein
The true statement about the effects of sugar is that prolonged exposure of teeth to simple sugars found in snacks and beverages promotes tooth decay (dental caries).
What happens to your teeth if you have too much sugar?Sugar is directly related to tooth decay. After eating sweet foods, these molecules attach to saliva and bacteria in your mouth.This combination leads to plaque on your teeth. Plaque left on teeth can erode tooth enamel and cause tooth decay. In addition to sugar, some foods also contain strong sweeteners. Fruit-flavored soft drinks and the natural sugars in them (fructose, glucose, sucrose) can cause tooth decay.Why is sugar harmful to dental health?Free sugars are a major nutritional factor in the development of caries. Tooth decay occurs when bacteria in the mouth metabolize sugars to produce acids that demineralize the hard tissues (enamel and dentin) of teeth.
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a patient you are treating appears to be deficient in vitamin d. you have previously prescribed vitamin d supplements, but they do not appear to be working. which organs and/or tissues should you check to make sure that the enzymes they produce are functioning appropriately?
You seem to be treating a patient who is lacking in vitamin D. Vitamin D supplements that you've previously given don't seem to be functioning. The liver and kidneys are the organs and/or tissues you should examine to make sure the enzymes they produce are working properly.
One of the 13 vitamins found by scientists researching disorders associated with nutritional deficiencies in the early 20th century is vitamin D. Since then, vitamins have been understood by scientists to be organic (carbon-containing) chemicals that must be obtained through diet because the body cannot produce them. Even though only a tiny number of vitamins are required to fulfil that role, vitamins are essential to our body's metabolism.
There are numerous chemicals that make up vitamin D. The naturally occurring kind is made in the epidermis from 7-dehydrocholesterol, a form of cholesterol that is found in all living things. The secret is sunlight, whose ultraviolet B (UVB) rays transform the precursor into vitamin D3. Contrarily, the majority of dietary supplements are created by exposing a plant sterol to ultraviolet light, which results in the production of vitamin D2. D2 and D3 are grouped together under the name vitamin D because of how similar their functions are, but neither one will work unless the body does its magic. A chemical in your skin is converted by the sun's energy into vitamin D3, which is then transported to your liver and kidneys where it is converted into active vitamin D.
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Which food is usually involved in the common foodborne infection illness anisakiasis?.
Answer:
Raw Fish
Explanation:
when selecting a weight loss program for long-term weight loss, which is the least important question to consider? question 39 options: does the program require purchase of special foods? does the program offer social support? does the program incorporate and encourage physical activity? is there a book available which explains the diet?
When selecting a weight loss program for long-term weight loss, which is the least important question to consider 4 pounds.
Instead, they need to attention to consuming fewer calories and shifting more to gain terrible strength and stability. weight loss is frequently dependent on lowering the overall intake of energy, not adjusting the proportions of carbohydrates, fat, and protein within the food regimen.
Try to encompass a burst of excessive-depth sports on your ordinary cardio sporting events. as an instance, whilst you are on foot, run for 5 mins, and however continue to stroll. This burns extra calories. Zumba, aerobics, and swimming are good alternatives for speedy weight loss.
Lemon water can sell fullness, assist hydration, boost metabolism, and growth weight loss. however, lemon water is not any better than regular water in relation to dropping fat. That being stated, it is tasty, easy to make, and can be used as a low-calorie alternative to higher-calorie drinks;
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6. the nurse is preparing to administer oral ampicillin to a child who weighs 40 kg. the safe dose for children is 50-100 mg/kg/day divided in doses administered every 6 hours. what would be the low single safe dose and high single safe dose per day be for this child?
500 to 1,000 mg per dose be the low single safe dose and high single safe dose per day be for this child.
What is the ampicillin used for?Ampicillin is used to treat bacterial infections in the mouth, sinuses, lungs, sexual system, urinary system, and gastrointestinal tract. It is also used to treat meningitis, an infection of the membrane that includes the brain and spinal cord.
Briefing:The nurse would build up a proportion to calculate the low dose as follows in order to determine the dosage:
50 mg/1 kg = x mg/40 kg;
Solve for x by cross-multiplying:
1 × x = 50 × 40;
x = 2,000 mg
4 daily doses divided = 500 mg.
In order to establish the dosage, the nurse would build up a proportion to calculate the low dose as follows:
100 mg/1 kg = x mg/40 kg;
solve for x by cross-multiplying:
1 × x = 100 × 40;
x = 4,000 mg
4 daily doses divided = 1,000 mg.
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the student nurse observes another nurse wash her hands in the client's bathroom before exiting the room. this client's stool came back positive ( ) for clostridium difficile (c diff). why is this behavior incorrect?
The behavior of nurse wash her hands in the client's bathroom before exiting the room whose stool came back positive for clostridium difficile is incorrect because the bathroom is highly contaminated with the Clostridium difficile bacteria.
If your care supplier suspects infection, he or she could do different tests. If your stool tests positive for C. difficile toxins, your care supplier could decide that you simply have antibiotic-associated inflammation, or inflammation of the colon.
Clostridium difficile inflammation results from disruption of traditional, healthy microorganism within the colon, typically as a results of antibiotics. C. difficile may be transmitted from person to person by spores. It will cause severe injury to the colon and even be fatal. Symptoms embrace looseness of the bowels, abdomen pain and fever. Treatment includes antibiotics.
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the labor nurse is performing a vaginal exam on a patient whose membranes just ruptured spontaneously. the nurse feels a loop of umbilical cord in the vagina. which nursing action has the highest priority?
The nurse would presume that fetal care and rapid cervical dilatation were nursing's primary concerns.
What is umbilical cord?The umbilical chord serves as a link between the mother's placenta and the newborn. The umbilical cord serves as the baby's lifeline during fetal growth in the womb by delivering nutrients. The cord is pinched and cut after delivery. The cord will eventually become dry and fall off naturally after 1 to 3 weeks. Within two weeks of delivery, the umbilical cord stump typically disappears. Keep the baby's umbilical cord stumps in mind in the interim.
What are the 3 parts of the umbilical cord and why do we cut umbilical cord?Wharton's jelly, a viscous substance primarily formed of mucopolysaccharides that shields the blood vessels inside the umbilical cord, is present there. It has two arteries that transport deoxygenated, nutrient-poor blood away from the fetus and one vein that provides oxygenated, nutrient-rich blood to a fetus.
Due to long-held views that placenta blood flow could worsen birth difficulties such neonatal respiratory distress, polycythemia, and jaundice from a rapid transfer of a large volume of blood, doctors generally cut the cord very rapidly.
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a client with a progressively enlarging neck comes into the clinic. the client mentions that they have been in a foreign country for the previous 3 months and that they didn't eat much while there because they didn't like the food. the client also mentions that they become dizzy when lifting their arms to do normal household chores or when dressing. what endocrine disorder should the nurse expect the physician to diagnose?
A client with a progressively enlarging neck didn't eat much and become dizzy when lifting their arms to do normal household chores or when dressing so the endocrine disorder that the physician should diagnose is goiter.
A goiter ordinarily develops as a results of iodine deficiency or inflammation of the ductless gland. Not all goitres cause symptoms. Symptoms that do occur may embrace swelling and coughing. Rarely, symptoms might embrace throat tightness or bother respiratory.
Other symptoms are a lump within the front of your neck, just under your Adam's apple, a feeling of tightness in your throat space, hoarseness (scratchy voice), neck vein swelling, dizziness after you raise your arms higher than your head, etc.
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the nurse should administer which of the following medications cautiously to clients with vitamin b12 deficiency as the prolonged use of these drugs decreases the body's ability to absorb vitamin b12? select all that apply:
Options B and D is the correct answer. The nurse administers medications to clients with vitamin b12 deficiency cautiously as prolonged use of these types of drugs can cause a decrease in the body's ability to absorb vitamin b12. These medicines will be Rabeprazole(Aciphex) and Pantoprazole(Protonix).
In the question, it is stated that the nurse is handling clients that have a vitamin b12 deficiency, and are provided with proper medicines. The nurse is cautiously handling the prescriptions because the prolonged use of these drugs can cause a decrease in the body's ability to absorb vitamin b12.
Medicines like Rabeprazole(Aciphex) and Pantoprazole(Protonix) help in overcoming the deficiencies of vitamin b12 in people but a longer use of these medicines can have side effects.
Hence, Options B and D are correct.
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Complete Question:
The nurse should administer which of the following medications cautiously to clients with vitamin B12 deficiency as the prolonged use of these drugs decreases the body's ability to absorb vitamin B12? Select all that apply.
A) Metoclopramide (Reglan)
B) Rabeprazole (AcipHex)
C) Sucralfate (Carafate)
D) Pantoprazole (Protonix)
E) Promethazine (Phenergan)
which is the most appropriate approach for the school nurse to take regarding children who are to be given mediactions in school
The school nurse should approach students who will receive medical treatment in class by assuring them that their confidentiality will be maintained.
What is the role of a nurse?The sole role of a nurse is to look after patients by taking care of their basic requirements, preventive care, and treating medical disorders. Nurses must keep an eye on the client and record any essential data that will help in treatment decisions.
Is nursing a good career?The nursing profession is a field that is constantly changing, very lucrative, and in high demand, with generally high levels of job satisfaction.
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the nurse is caring for a patient who develops watery diarrhea and a fever after prolonged omeprazole (prilosec) therapy. in which order will the nurse take actions? (put a comma and a space between each answer choice [a, b, c, d].) a. contact the health care provider. b. assess blood pressure and heart rate. c. give the prn acetaminophen (tylenol). d. place the patient on contact precautions.
according to the faqs on the usda webpage about certification, for an existing farm to become certified organic, how much time must have elapsed, at minimum, since prohibited substances were used on the farm?
According to the FAQs on the USDA webpage about certification, for an existing farm to become certified organic, minimum 2 years must have elapsed, at minimum, since prohibited substances were used on the farm.
The United States Department of Agriculture (USDA) is that the federal department of the federal government accountable for developing and death penalty federal laws associated with farming, forestry, rural economic development, and food.
Conversion plan of the farm system: soil and manure management, crop rotation, stock kind, numbers and management. A review of the labour needs, infrastructure and instrumentality wants and a selling arrange. monetary budgeting for the conversion amount and for the established organic farm.
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birth control pills have an advantage in that they . a. offer protection against stis b. eliminate mood changes c. might decrease menstrual flow and cramping d. are available without a prescription e. can be taken at any time during the week
The birth control pills have an advantage in such a way that they offer protection against stis.
The correct answer choice is option a
How birth control protect one against STIsWhen we use certain birth control methods such as con- doms, it helps an individual not to contact any diseases which is usually, frequently and most of the time contracted from se- xual intercourse. In order words, protective measures help to protect one from being affected.
So therefore, it can be deduced from above that condoms is one of the best way to protect one against contacting sex- ually transmitted diseases.
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which statements made by the nurse indicate how insulin pens simplify self-administered insulin for clients? select all that apply.
The statements made by the nurse which indicates how insulin pens simplify self-administered insulin for clients include the following below:
"The cylinder of the insulin pen contains a prefilled reservoir of insulin.""The dose of insulin in an insulin pen is displayed in a window of the syringe.""Insulin pen automatically reset the dose window to zero, following the injection."Who is a Nurse?This is referred to as a healthcare professional who specializes in taking care of the sick and ensuring that adequate recovery is achieved in other to reduce the risk of complications.
Insulin on the other hand is a hormone which is produced by the pancreas and controls the amount of glucose in your bloodstream by storing excess as glycogen etc.
Insulin pens simplify self-administered insulin for clients because the cylinder of the insulin pen contains a prefilled reservoir of insulin and display the dosage at the window of the syringe for prompt guidance.
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a new patient is completing your offices patient registration form. the patient tells you that she has insurance but does not have her card with her and does not know the effective date of coverage, the group plan number, or the identification number. explain one or more ways to obtain the insurance information right away.
The office barrier should ask for the patient's SS#, and CA ID, check the patient's medical record and ask what insurance she has to call her insurance for patient insurance information.
Patients can consult a doctor if they do not have an insurance card. You will need the following information:
1. Member ID:
This information could not be found in your Zenefits profile as it is Protected Health Information (PHI). You can use your SSN instead of your Member ID OR contact your insurance company directly to get it. Your specific insurance company contact information can be found in the Member Services and Claims Information link on your Medical Overview page. For dental and vision insurance, your SSN can be your Member ID.
2. Group/policy number:
This number can be found on the health, dental, or vision dashboard in the Plan.
3. Plan Name/Type:
You find this information on the Medical, Dental, or Vision Overview page in the Plan.
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the nurse is caring for a client with multiple sclerosis (ms). the client tells the nurse the hardest thing to deal with is the fatigue. when teaching the client how to reduce fatigue, what action should the nurse suggest?
Answer: Resting in an air-conditioned room whenever possible
Explanation
a 76-year-old resident of an assisted living facility who has a history of heart failure has presented to her primary care provider for a scheduled appointment. which of the woman's statements suggests that her heart failure is worsening?
Answer:
Electrocardiogram (ECG)
Explanation:
a client is being seen at the clinic on a monthly basis for assessment of blood pressure. the client has been checking blood pressure at home as well and has reported a systolic pressure of 158 and a diastolic pressure of 64. what does the nurse suspect this client is experiencing?
According to the given statement the nurse suspect this client is experiencing isolated systolic hypertension.
What causes systolic pressure?Several medical disorders, including vascular stiffness, diabetes, and hyperthyroidism. High salt intake, obesity, or a high bmi (BMI) can all raise blood pressure. Smoking, which might make the arteries more rigid. Underneath a systolic value of 140/90mmhg and a systolic value of 90 mmHg, blood pressure in adults is regarded as normal.
What does it mean if only the systolic blood pressure is high?Over time, having a very high blood pressure systolic can put one at greater risk for heart attacks, strokes, and kidney disease over time. Systolic pressure should be less than 130 mm Hg in persons under 65 who are at 10% or higher chance of developing cardiovascular disease.
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A 48-year-old known type 2 diabetic patient (well controlled) and bp is 125/8ommhg what additional treatment ought to be started to prevent cardiovascular complications: a aspirin b. statins c. enalapril
A 48-year-old patient suffering from type 2 diabetes should take statins to prevent cardiovascular diseases associated with atherosclerosis.
What are statins?Statins are cholesterol-lowering drugs. This drug works by blocking the work of enzymes that the body uses in producing cholesterol in the liver. statins work well in helping to lower levels of bad cholesterol (LDL cholesterol) in the blood. This can certainly lower your risk of heart disease, heart attack, and stroke.
Diabetes increases the risk of developing atherosclerosis earlier than usual. Insulin resistance, a hallmark of prediabetes and type 2 diabetes, is associated with abnormal cholesterol levels, heart disease, and atherosclerosis. So, type 2 diabetes patients need statin medications.
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while caring for a client who has sustained a myocardial infarction (mi), the nurse notes eight premature ventricular contractions (pvcs) in 1 minute on the cardiac monitor. the client is receiving an iv infusion of 5% dextrose in water (d5w) at 125 ml/h and oxygen at 2 l/min. what should the nurse do first?
The nurse notes eight premature ventricular contractions (PVCs) in 1 minute on the cardiac monitor and he is receiving an IV infusion of 5% dextrose in water (d5w) at 125 ml/h and oxygen at 2 l/min, so nurse should notify the healthcare provider (HCP).
Premature ventricular contractions (PVCs) are further heartbeats that begin in one in every of the heart's 2 lower pumping chambers (ventricles). These further beats disrupt the regular rhythm, typically inflicting a sensation of a flap or a skipped ram down the chest.
Dextrose is a type of glucose (sugar). Dextroglucose five-hitter in water is injected into a vein through an IV to switch lost fluids and supply carbohydrates to the body. Dextroglucose five-hitter in water is employed to treat low glucose (hypoglycemia), hormone shock, or dehydration (fluid loss).
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a nurse is talking with a school-age child who tells the nure about a time when a family member attacked the child. the child describes the events in detail. what is important for the nurse to consider when documenting and discussing the incident with other health care providers?
Use the language and vocabulary of the child to describe the incident with other health care providers.
What is the health care?The enhancement of one's health through the protection, diagnosis, treatment, amelioration, or treatment of illnesses, sickness, injury, and other mental and physical disabilities in humans is known as health care or healthcare. The most disadvantaged groups of any population must have access to universal health care in order to lead lives of dignity. Without our health, we literally cannot even survive, much less live with respect.
What is the purpose of healthcare?The main goal of health treatment is to improve health in order to improve quality of life. To maintain their valuation & continue to operate, commercial enterprises concentrate on producing financial profit. For health care to live up to its promise to society, it must prioritize generating social profit.
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you are transporting a patient who is experiencing frequent discharges of her automatic implanted cardiac defibrillator (aicd). you are caring for the patient in the back of the ambulance en route to the hospital. to protect yourself from being shocked if the defibrillator discharges, you should:
In the event that you are caring for a patient who has an implanted cardiac defibrillator (AICD), there are certain precautions you must take to protect yourself from being shocked like you should wear gloves, gown, and face shield.
First, it is important to understand how the device works. The AICD is designed to automatically deliver a shock to the heart in the event of a life-threatening arrhythmia. The device is implanted under the skin, usually in the chest, and is connected to the heart via wires.
If the AICD detects a life-threatening arrhythmia, it will deliver a shock to the heart in an attempt to restore a normal rhythm. The shock can be very powerful, and if you are in contact with the patient when the device discharges, you could be seriously injured.
There are a few things you can do to protect yourself from being shocked by an AICD. First, make sure you are not in contact with the patient when the device is discharged. If you must be in contact with the patient, make sure you are wearing gloves and other protective clothing.
Second, do not touch the patient's chest or AICD device after the device has discharged. The shock can cause burns and other injuries.
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which information would the nurse share with the mother of a 2-year-old child about sexual development?
An information which a nurse would share with the mother of a 2-year-old child about sexual development is that "Exploration of body parts is normal for preschoolers."
What is Early childhood education?Early childhood education (ECE) is sometimes referred to as play school, pre-primary school, or nursery education, and it can be defined as a branch of education that serves young children in their preschool years with a well-rounded curriculum, before they are old enough to enter kindergarten.
This ultimately implies that, early childhood education (ECE) describe a type of early educational program that relates to the formal and informal teaching of children or preschoolers from birth (infancy) up to the age of eight (8) on certain subject matters such as sexual development.
In this context, we can reasonably infer and logically deduce that a nurse would most likely tell the mother of a 2-year-old child that body parts exploration for preschoolers is normal.
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a public health nurse is assigned a new area. in order to become more familiar with the area, the nurse will collect data regarding the health of the community. what sources of existing data will the nurse use to gather initial health-related data about the community? (select all that apply.)
A new area receives the services of a public health nurse. The nurse will gather information about the community's health in order to get to know the place better. Reportable diseases, vital statistics, and disease registries are the sources of existing data that the nurse will use to compile preliminary health-related information on the neighbourhood.
By teaching communities and providing care there, public health nurses play a crucial part in enhancing population health outcomes. Registered nurses are in a position of leadership where they can improve communities and change policies. A registered nurse (RN) who promotes beneficial alterations to community health is known as a public health nurse. Nurses have the wonderful opportunity to work directly with communities to inform residents and provide them with the resources they need to improve their health outcomes.
A public health nurse's responsibility is to advance public health. In this role, nurses concentrate on facilitating access to care for those who are underserved and at risk. Through evidence-based care and education, public health nurses work to lower health risks and help prevent disease at the population level.
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According to AHDI do not capitalize names or descriptive terms
Answer:
According to the AHDI, do not capitalize "generic" names or descriptive terms. Capitalize trade names and exclusive names of medications and brand names of fabricated items and hardware. Try not to capitalize generic names or illustrative terms.
a client with newly diagnosed hypertension on bp medication has been taking her own bp at home for 2 weeks. when she calls and reports her bp readings to the nurse, the nurse notes an elevated bp in the morning. the client states that she wakes up, has her daily cup of coffee, and takes her bp before eating as she was instructed. what should the nurse recommend to this client?
The nurse should suggest the client with newly diagnosed hypertension having elevated BP in the morning to measure her BP before drinking the morning coffee.
Hypertension is the state where the blood pressure of the body is above than usual. In the condition, the force of blood flow through the arteries is very high. Caffeine in coffee is believed to cause hypertension because it triggers the adrenal gland to release adrenaline that elevated the blood pressure.
BP is the abbreviation for blood pressure. Blood pressure is the pressure or force with which the blood flows through the blood vessels. It has two subparts: the systolic pressure and the diastolic pressure. The average blood pressure that a person should have must be around 120/80.
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a client is admitted from the emergency department with complaints of severe abdominal pain and an elevated white blood cell count. the physician diagnoses appendicitis. the nurse knows the client is at greatest risk for:
The client is diagnosed with appendicitis. The nurse knows that the client is at the greatest risk for rupture of the appendix.
In the question, it is stated that the client is suffering from severe abdominal pain and has an elevated white blood cell count, and is diagnosed with appendicitis. The nurse assesses the client and concludes that the client is at the greatest risk for rupture of the appendix.
Appendicitis is a situation in which the appendix becomes inflamed and is filled with pus that leads to cause pain in the abdominal area. It can also lead up to an elevated White Blood Cells count.
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a client presents to the hospital experiencing a spontaneous abortion (miscarriage) at 8 weeks' gestation, which is the third spontaneous abortion (miscarriage) in 2 years. the health care provider offers to send the products of conception for genetic testing. the client expresses not understanding the reason for this action. how does the nurse explain?
The health care provider offers to send the products of conception for genetic testing in order to know the cause of spontaneous abortion (miscarriage).
Genetic testing helps to search out out if a human genes or chromosomes could also be joined to a health condition; it also can establish changes in a very person's genes. The procedure will be done before a gestation, throughout a gestation, or later in life. Genetic testing isn't on the market for each condition.
Spontaneous abortion is that the loss of gestation naturally before twenty weeks of gestation. informally, stillbirth is said as a 'miscarriage' to avoid association with abortion. Early gestation loss refers solely to stillbirth within the trimester.
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a client has developed chronic hypoxia and has developed pulmonary hypertension (htn). the nurse recognizes that the most likely cause of pulmonary hypertension would be:
Using the theories of nursing, we got that Constriction of the pulmonary vessels in response to hypoxemia is the most likely cause of pulmonary hypertension would be for the client who has developed chronic hypoxia and has developed pulmonary hypertension (htn).
Hypoxia may affect the whole body (generalized hypoxia), or the specific organ or area of the body (tissue hypoxia). It can also be classified as the acute or chronic, with acute meaning the rapid onset, and chronic meaning that hypoxia has been ongoing for some time.
Hence, a client who has developed chronic hypoxia and has developed pulmonary hypertension (htn), the nurse recognizes that the most likely cause of pulmonary hypertension would be actually Constriction of the pulmonary vessels in response to hypoxemia.
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a prenatal client at 16 weeks' gestation presents to the clinic with unexplained bright red spotting, cramping, and backache, which she has had for the past two days. a pelvic exam reveals a closed cervix. what type of abortion/miscarriage does this indicate?
This indicates threatening abortion. Vaginal bleeding throughout pregnancy which does not fulfill the clinical definition for spontaneous abortion constitutes a threatening abortion.
When an abortion is threatened, the cervical is remains closed. Within the first two trimesters, about 25% of pregnant women experience vaginal bleeding, with around 50% of these resulting in pregnancy loss.
Typically, the bleeding throughout a threatened abortion is mild to moderate. Intermittent cramping, suprapubic discomfort, pelvis tension, or lower back pain are all symptoms of stomach pain.
During early pregnancy, the ovary secretes progesterone. It is a necessary hormone for the beginning and continuation of pregnancy. Progestogens can be administered orally, intramuscularly, or as vaginal suppositories to women who are at risk of miscarriage/abortion.
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